Active NPI
Jessica Vergel de Dios, DMD
- Dentist
- Chula Vista, CA
National Provider Identifier
1184148579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS101634
- Practice address
- 700 Otay Lakes Rd
Chula Vista, CA 91910-6912 - Phone
- (619) 421-8474
- NPI assigned
- Jul 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS101634 | CA | Primary |
Addresses
Primary practice location
700 Otay Lakes Rd
Chula Vista, CA 91910-6912
Mailing address
2222 Fourth Ave Unit B
San Diego, CA 92101-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS101634 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonal Singh Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Canyon Vista Dental Group
- General Practice Dentistry
- Chula Vista, CA
- NPI 1255686036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1184148579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 FOURTH AVE UNIT B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 OTAY LAKES RD",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919106912",
"telephone_number": "619-421-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGEL DE DIOS",
"first_name": "JESSICA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-27",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS101634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
- Verdolin Medicolegal Consulting Inc. (Pain Consultants of San Diego)
- Verdolin Pain Specialists, Inc.
- Michael Henry Verdolin, M.D.
- Aries Joselynne Vergara
- Sandra Vergara
- Veterans Home of California - Chula Vista
- Veterans Home of California-Chula Vista (Veterans Home of Ca Chula Vista)
- Todorka Ivanova Vetrenski
- Victor H. Carrillo Professional Dental Corp.
- Victor J Mora D.D.S. ,Apc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.